Question 1

Which component of the pancreatic juices acts as a buffer and neutralizes the acidity of gastric juice?

Accepted Answer

A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Gastrin 
E)  Bicarbonate 
A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Gastrin 
E)  Bicarbonate E

Question 2

The most prominent histologic feature of chronic pancreatitis is:

Accepted Answer

A)  Metaplasia 
B)  Hyperplasia 
C)  Fibrosis 
D)  Ongoing necrosis 
E)  Apoptosis 
A)  Metaplasia 
B)  Hyperplasia 
C)  Fibrosis 
D)  Ongoing necrosis 
E)  Apoptosis C

Question 3

Carcinoma of the pancreas is the:

Accepted Answer

A)  Third most common cancer-related cause of death in males 
B)  Third most common cancer-related cause of death in females 
C)  Fourth most common cancer-related cause of death in males 
D)  Fourth most common cancer-related cause of death in females 
E)  Fifth most common cancer-related cause of death in males 
A)  Third most common cancer-related cause of death in males 
B)  Third most common cancer-related cause of death in females 
C)  Fourth most common cancer-related cause of death in males 
D)  Fourth most common cancer-related cause of death in females 
E)  Fifth most common cancer-related cause of death in males C

Question 4

The pancreas can be divided into several parts,the largest of which is the:

Accepted Answer

A)  Endocrine part 
B)  Tail 
C)  Head 
D)  Body 
E)  Accessory part 
A)  Endocrine part 
B)  Tail 
C)  Head 
D)  Body 
E)  Accessory part

Question 5

Fat necrosis typically found in and around the pancreas in acute pancreatitis is caused by a release of:

Accepted Answer

A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Pepsin 
E)  Cholecystokinin 
A)  Amylase 
B)  Lipase 
C)  Peptidase 
D)  Pepsin 
E)  Cholecystokinin

Question 6

What is the most common form of diabetes mellitus?

Accepted Answer

A)  Insulin dependent 
B)  Non-insulin dependent 
C)  Gestational 
D)  Autosomal dominant 
E)  Autosomal recessive 
A)  Insulin dependent 
B)  Non-insulin dependent 
C)  Gestational 
D)  Autosomal dominant 
E)  Autosomal recessive

Question 7

Which of the following is a late complication of acute pancreatitis?

Accepted Answer

A)  Diverticulosis 
B)  Amyloidosis 
C)  Pseudocysts 
D)  Carcinoma of the ducts of the pancreas 
E)  Zollinger-Ellison syndrome 
A)  Diverticulosis 
B)  Amyloidosis 
C)  Pseudocysts 
D)  Carcinoma of the ducts of the pancreas 
E)  Zollinger-Ellison syndrome

Question 8

Functionally,most pancreatic carcinomas are characterized by:

Accepted Answer

A)  Hyperinsulinism 
B)  Excess of glucagon 
C)  Hypergastrinemia 
D)  Excess of amylase 
E)  No hormonal symptoms 
A)  Hyperinsulinism 
B)  Excess of glucagon 
C)  Hypergastrinemia 
D)  Excess of amylase 
E)  No hormonal symptoms

Question 9

Histologically,most carcinomas of the pancreas are classified as:

Accepted Answer

A)  Adenocarcinoma 
B)  Oat cell carcinoma 
C)  Squamous cell carcinoma 
D)  Transitional cell carcinoma 
E)  Acinic cell carcinoma 
A)  Adenocarcinoma 
B)  Oat cell carcinoma 
C)  Squamous cell carcinoma 
D)  Transitional cell carcinoma 
E)  Acinic cell carcinoma

Question 10

What diagnostic approach is most reliable for visualizing the carcinoma of the pancreas?

Accepted Answer

A)  Plain abdominal film 
B)  Computed tomography (CT) scanning 
C)  Laparoscopy 
D)  Gastroscopy 
E)  Colonoscopy 
A)  Plain abdominal film 
B)  Computed tomography (CT) scanning 
C)  Laparoscopy 
D)  Gastroscopy 
E)  Colonoscopy

Question 11

Peritoneal rigidity signals the onset of peritonitis,which is usually accompanied by:

Accepted Answer

A)  Edema of the head of the pancreas 
B)  Hemorrhage into the peripancreatic tissue 
C)  Necrosis of peripancreatic fat tissue 
D)  Foci of saponification around the pancreas 
E)  Paralytic ileus 
A)  Edema of the head of the pancreas 
B)  Hemorrhage into the peripancreatic tissue 
C)  Necrosis of peripancreatic fat tissue 
D)  Foci of saponification around the pancreas 
E)  Paralytic ileus

Question 12

Hyperglycemia predisposes individuals to:

Accepted Answer

A)  Viral infection 
B)  Immune mediated pancreatitis 
C)  Bacterial infections 
D)  Acute pancreatitis 
E)  Pancreatic tumors 
A)  Viral infection 
B)  Immune mediated pancreatitis 
C)  Bacterial infections 
D)  Acute pancreatitis 
E)  Pancreatic tumors

Question 13

Which of the following commonly occurs in alcoholics?

Accepted Answer

A)  Increased incidence of acute pancreatitis caused by overstimulation of secretin 
B)  Decreased incidence of acute pancreatitis caused by overstimulation of secretin 
C)  Increased incidence of acute pancreatitis caused by understimulation of secretin 
D)  Decreased incidence of chronic pancreatitis caused by overstimulation of secretin 
E)  Increased incidence of acute pancreatitis caused by overstimulation of insulin 
A)  Increased incidence of acute pancreatitis caused by overstimulation of secretin 
B)  Decreased incidence of acute pancreatitis caused by overstimulation of secretin 
C)  Increased incidence of acute pancreatitis caused by understimulation of secretin 
D)  Decreased incidence of chronic pancreatitis caused by overstimulation of secretin 
E)  Increased incidence of acute pancreatitis caused by overstimulation of insulin

Question 14

X-ray examination of patients with chronic pancreatitis typically reveals:

Accepted Answer

A)  Edema of the head of the pancreas 
B)  Swelling of the tail of the pancreas 
C)  Distention of the papilla of Vater 
D)  Calcifications of the pancreas 
E)  Loss of endocrine cells from the pancreas 
A)  Edema of the head of the pancreas 
B)  Swelling of the tail of the pancreas 
C)  Distention of the papilla of Vater 
D)  Calcifications of the pancreas 
E)  Loss of endocrine cells from the pancreas

Question 15

Which of the following is an early sign of carcinoma of the head of pancreas?

Accepted Answer

A)  Hiccups 
B)  Gastric regurgitation 
C)  Jaundice 
D)  Pain in the left upper abdominal quadrant 
E)  Ascites 
A)  Hiccups 
B)  Gastric regurgitation 
C)  Jaundice 
D)  Pain in the left upper abdominal quadrant 
E)  Ascites

Question 16

Which of the following is most typical of diabetes mellitus?

Accepted Answer

A)  Oliguria 
B)  Anuria 
C)  Polyuria 
D)  Proteinuria 
E)  Cylindruria 
A)  Oliguria 
B)  Anuria 
C)  Polyuria 
D)  Proteinuria 
E)  Cylindruria

Question 17

Which tumor has its highest incidence in 60- to 80-year-old American men?

Accepted Answer

A)  Insulinoma 
B)  Somatostatinoma 
C)  Gastrinoma 
D)  Adenocarcinoma of the head of pancreas 
E)  Adenocarcinoma of the papilla of Vater 
A)  Insulinoma 
B)  Somatostatinoma 
C)  Gastrinoma 
D)  Adenocarcinoma of the head of pancreas 
E)  Adenocarcinoma of the papilla of Vater

Question 18

A major biochemical abnormality typical of diabetes mellitus that can be detected by blood analysis is:

Accepted Answer

A)  Hypoglycemia 
B)  Hyperglycemia 
C)  Hyperamylasemia 
D)  Hypoalbuminemia 
E)  Hypercalcemia 
A)  Hypoglycemia 
B)  Hyperglycemia 
C)  Hyperamylasemia 
D)  Hypoalbuminemia 
E)  Hypercalcemia

Question 19

Acute pancreatitis can be induced experimentally by what method?

Accepted Answer

A)  Obstruction of the main pancreatic duct 
B)  Obstruction of the secondary pancreatic duct 
C)  Physical injury of the pancreatic acinar cells 
D)  Drugs that stimulate the production of pancreatic acinar cells 
E)  Removal of bile from the main pancreatic duct 
A)  Obstruction of the main pancreatic duct 
B)  Obstruction of the secondary pancreatic duct 
C)  Physical injury of the pancreatic acinar cells 
D)  Drugs that stimulate the production of pancreatic acinar cells 
E)  Removal of bile from the main pancreatic duct

Question 20

What digestive enzyme is secreted by the pancreas?

Accepted Answer

A)  Amylase 
B)  Alkaline phosphatase 
C)  Somatostatin 
D)  Cholecystokinin 
E)  Secretin 
A)  Amylase 
B)  Alkaline phosphatase 
C)  Somatostatin 
D)  Cholecystokinin 
E)  Secretin

Exam 12: The Pancreas

Which component of the pancreatic juices acts as a buffer and neutralizes the acidity of gastric juice?

The most prominent histologic feature of chronic pancreatitis is:

Carcinoma of the pancreas is the:

The pancreas can be divided into several parts,the largest of which is the:

Fat necrosis typically found in and around the pancreas in acute pancreatitis is caused by a release of:

What is the most common form of diabetes mellitus?

Which of the following is a late complication of acute pancreatitis?

Functionally,most pancreatic carcinomas are characterized by:

Histologically,most carcinomas of the pancreas are classified as:

What diagnostic approach is most reliable for visualizing the carcinoma of the pancreas?

Peritoneal rigidity signals the onset of peritonitis,which is usually accompanied by:

Hyperglycemia predisposes individuals to:

Which of the following commonly occurs in alcoholics?

X-ray examination of patients with chronic pancreatitis typically reveals:

Which of the following is an early sign of carcinoma of the head of pancreas?

Which of the following is most typical of diabetes mellitus?

Which tumor has its highest incidence in 60- to 80-year-old American men?

A major biochemical abnormality typical of diabetes mellitus that can be detected by blood analysis is:

Acute pancreatitis can be induced experimentally by what method?

What digestive enzyme is secreted by the pancreas?

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